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Form 8963, Report of Health Insurance Provider Information

This form allows employers to report net premiums written for health insurance of United States health risks. The information reported will be used by the IRS to calculate the annual fee on health insurance providers.

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All Form 8963 Revisions

Form 8453-R, Declaration and Signature for Electronic Filing of Forms 8947 and 8963

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Comment on Form 8963

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Page Last Reviewed or Updated: 01-Feb-2017